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NPI Code Detail

MEDICARE: DIMITRA KARAMANIDES OTR/L

MEDICARE: DIMITRA KARAMANIDES OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225XP0019XPhysical Rehabilitation Occupational TherapistOC013586PA

General Provider Information

NPI Number : 1225494461
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIMITRA KARAMANIDES OTR/L
Provider Business Mailing Address
First Line : 849 BRYN MAWR AVE
Second Line :
City : NEWTOWN SQUARE
State : PA
Zip : 19073-4334
Country : US
Telephone Number : 505-205-5465
Fax Number :
Provider Business Practice Location Address
First Line : 849 BRYN MAWR AVE
Second Line :
City : NEWTOWN SQUARE
State : PA
Zip : 19073-4334
Country : US
Telephone Number : 505-205-5465
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2016
Last Update Date : 01/04/2016

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